Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

LUTHERAN HOSPITAL

General Acute Care Hospital·CLEVELAND, OH·NPI: 1194763045Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $41.5M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$41.5M

$41,491,622

Total Claims

1.0M

Beneficiaries

803K

1.3 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$3.1M
+12%
2019
$3.5M
+21%
2020
$4.2M
+23%
2021
$5.2M
-14%
2022
$4.5M
+174%
2023
$12.2M
-28%
2024
$8.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (96361 (IV infusion, hydration, each additional hour)) accounts for 18% of total spending.

96361Top 10%

IV infusion, hydration, each additional hour

$7.5M

25K claims · 18.1%

Your Cost: $297.00/claim|Median: $38.92
7.6× median
99284Top 25%

Emergency dept visit, high complexity

$5.7M

49K claims · 13.8%

Your Cost: $116.27/claim|Median: $69.51
1.7× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$5.5M

42K claims · 13.3%

Your Cost: $130.90/claim|Median: $85.65
1.5× median
99283Top 25%

Emergency dept visit, moderate complexity

$5.1M

46K claims · 12.2%

Your Cost: $110.26/claim|Median: $42.48
2.6× median
97110Top 10%

Therapeutic exercises, each 15 min

$1.6M

24K claims · 3.8%

Your Cost: $66.39/claim|Median: $24.49
2.7× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$1.1M

9,870 claims · 2.8%

Your Cost: $115.81/claim|Median: $91.47
1.3× median
G0463Top 25%

Hospital outpatient clinic visit

$1.1M

15K claims · 2.7%

Your Cost: $77.29/claim|Median: $26.41
2.9× median
70450Top 5%

CT head/brain without contrast

$993K

3,707 claims · 2.4%

Your Cost: $267.84/claim|Median: $45.53
5.9× median
U0003Top 5%

Infectious disease detection (COVID-19)

$958K

6,728 claims · 2.3%

Your Cost: $142.44/claim|Median: $63.08
2.3× median
74177Top 25%

CT abdomen and pelvis with contrast

$836K

3,388 claims · 2.0%

Your Cost: $246.81/claim|Median: $65.76
3.8× median
27447Top 25%

Total knee replacement surgery, both components

$779K

278 claims · 1.9%

Your Cost: $2,801.08/claim|Median: $1,115.75
2.5× median
96360Top 25%

IV infusion, hydration, initial, 31 minutes to 1 hour

$614K

3,642 claims · 1.5%

Your Cost: $168.71/claim|Median: $61.57
2.7× median
G0378Normal range

Hospital observation service, per hour

$573K

7,297 claims · 1.4%

Your Cost: $78.57/claim|Median: $99.39
0.8× median
99282Top 25%

Emergency dept visit, low complexity

$524K

4,553 claims · 1.3%

Your Cost: $115.15/claim|Median: $37.72
3.1× median
96365Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$486K

3,896 claims · 1.2%

Your Cost: $124.65/claim|Median: $54.77
2.3× median
90853Top 5%

Group psychotherapy

$448K

4,653 claims · 1.1%

Your Cost: $96.23/claim|Median: $25.02
3.8× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$437K

2,332 claims · 1.1%

Your Cost: $187.36/claim|Median: $40.12
4.7× median
C1776Normal range

$430K

734 claims · 1.0%

Your Cost: $585.59/claim|Median: $586.59
1.0× median
80053Normal range

Comprehensive metabolic panel

$404K

56K claims · 1.0%

Your Cost: $7.24/claim|Median: $7.24
1.0× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$378K

3,066 claims · 0.9%

Your Cost: $123.20/claim|Median: $10.88
11.3× median
71260Top 10%

CT chest with contrast

$350K

1,563 claims · 0.8%

Your Cost: $224.14/claim|Median: $48.36
4.6× median
74176Top 10%

CT abdomen and pelvis without contrast

$276K

1,009 claims · 0.7%

Your Cost: $273.97/claim|Median: $60.19
4.6× median
90870Top 25%

$226K

1,034 claims · 0.5%

Your Cost: $218.69/claim|Median: $68.07
3.2× median
64483Top 25%

$204K

549 claims · 0.5%

Your Cost: $371.95/claim|Median: $124.24
3.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$195K

17K claims · 0.5%

Your Cost: $11.24/claim|Median: $35.43
0.3× median
C9803Top 25%

$186K

5,065 claims · 0.4%

Your Cost: $36.79/claim|Median: $13.20
2.8× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$182K

873 claims · 0.4%

Your Cost: $208.19/claim|Median: $54.68
3.8× median
90839Normal range

Psychotherapy for crisis, first 60 min

$168K

1,491 claims · 0.4%

Your Cost: $113.01/claim|Median: $83.98
1.3× median
70498Top 10%

$154K

570 claims · 0.4%

Your Cost: $270.09/claim|Median: $58.88
4.6× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$149K

7,889 claims · 0.4%

Your Cost: $18.93/claim|Median: $23.99
0.8× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$133K

4,679 claims · 0.3%

Your Cost: $28.41/claim|Median: $16.79
1.7× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$121K

1,402 claims · 0.3%

Your Cost: $86.45/claim|Median: $36.13
2.4× median
73564Top 25%

$110K

2,499 claims · 0.3%

Your Cost: $43.98/claim|Median: $15.00
2.9× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$110K

1,031 claims · 0.3%

Your Cost: $106.36/claim|Median: $79.28
1.3× median
97161Normal range

Physical therapy evaluation, low complexity

$101K

3,810 claims · 0.2%

Your Cost: $26.53/claim|Median: $47.89
0.6× median
76705Top 25%

Ultrasound, abdominal, limited

$101K

1,301 claims · 0.2%

Your Cost: $77.39/claim|Median: $23.81
3.3× median
76770Top 10%

Ultrasound, retroperitoneal, complete

$92K

658 claims · 0.2%

Your Cost: $139.55/claim|Median: $37.35
3.7× median
82306Normal range

Vitamin D, 25 hydroxy

$91K

4,257 claims · 0.2%

Your Cost: $21.41/claim|Median: $18.18
1.2× median
78452Top 10%

Myocardial perfusion imaging, SPECT, multiple studies

$89K

210 claims · 0.2%

Your Cost: $423.74/claim|Median: $106.14
4.0× median
84439Top 5%

Free thyroxine level blood test

$86K

3,816 claims · 0.2%

Your Cost: $22.62/claim|Median: $6.31
3.6× median
97535Normal range

Self-care/home management training, per 15 minutes

$81K

2,937 claims · 0.2%

Your Cost: $27.62/claim|Median: $18.18
1.5× median
84484Normal range

Troponin, quantitative

$77K

25K claims · 0.2%

Your Cost: $3.09/claim|Median: $4.84
0.6× median
71046Normal range

Chest X-ray, 2 views

$75K

14K claims · 0.2%

Your Cost: $5.51/claim|Median: $8.92
0.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$72K

45K claims · 0.2%

Your Cost: $1.60/claim|Median: $4.71
0.3× median
80048Normal range

Basic metabolic panel

$70K

9,389 claims · 0.2%

Your Cost: $7.41/claim|Median: $5.78
1.3× median
77067Normal range

Screening mammography, bilateral, including CAD

$68K

2,043 claims · 0.2%

Your Cost: $33.15/claim|Median: $39.33
0.8× median
84443Normal range

Thyroid stimulating hormone (TSH)

$67K

5,920 claims · 0.2%

Your Cost: $11.38/claim|Median: $9.87
1.2× median
C1713Normal range

Anchor or screw for tissue to bone fixation

$66K

1,043 claims · 0.2%

Your Cost: $63.67/claim|Median: $123.40
0.5× median
87631Top 25%

Respiratory virus detection, 3-5 targets, multiplex

$64K

498 claims · 0.2%

Your Cost: $129.03/claim|Median: $65.45
2.0× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$61K

1,013 claims · 0.1%

Your Cost: $60.39/claim|Median: $25.43
2.4× median

Other Top Providers in Ohio

View all →

The Cleveland Clinic Foundation

General Acute Care Hospital

$863.5M

Nationwide Children's Hospital

General Acute Care Hospital

$777.5M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$617.0M

The Metrohealth System

General Acute Care Hospital

$574.1M

Children's Hospital Medical Center of Akron

General Acute Care Hospital Children

$556.6M

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

← All providersAll providers in Ohio →How we detect fraud →